Do you
or a loved one have trouble falling asleep at night?Get a restlessness or creepy feeling in your legs?Get sudden jerks in your arms legs or body?Get 8 hours of sleep and still feel tired?Fight to stay awake during the day?Get hot or sweaty while asleep?Have trouble staying asleep?Wake up with headaches?Get sudden weakness?Need to take naps?Grind your teeth?Ever bedwet?Or snore?

If the answer to
ANY of these questions is YES then you should read through this site!HELPISAVAILABLE !

Expert evaluation is the first step to appropriate treatment.
Call Us The Sleep-Alertness Disorders Center (303) 671-0977

The main goal of this Web site is to
inform you, the patient or health care professional, about sleep disorders,
especially symptoms that are likely to be associated with sleep or alertness
disorders, and about our center. Our Director's decades of experience and commitment to
maintaining the highest clinical standards ensure the very best quality sleep
and or alertness evaluation and coordination available.

What We Do

We are a full service independent diagnostic
center for all sleep disorders, for adults and children (ages 3 and up). We
provide initial office visits with a board certified sleep specialist and follow
up visits as needed, diagnostic sleep testing, CPAP testing, and CPAP equipment
and ongoing support to our apnea patients.

Please see our "CLINICAL SERVICES"
SECTION on this web site for more details on our services and the unique value
this center provides for our patients.

We provide professional interpretation of sleep
test recordings (dictations or full reports) to hospital-based or independent
sleep centers. We provide expert consulting and training to new sleep centers on
setting up clinical and administrative systems necessary for high quality center
management. We offer a complete package of on-site sleep disorders/alertness
assessment and support to industry, as well as consultation on optimizing
scheduling for optimal employee alertness.

Please see our "CONSULTING SERVICES"
SECTION on this web site for more information on these services.

The Director has more than 25 years experience in
sleep research, as principal investigator on federal grants and pharmaceutical
company clinical trials. Moreover, the Sleep-Alertness Disorders Center has
conducted new long-term treatment research that has effectively treated patient
with narcolepsy-cataplexy. The Sleep-Alertness Disorders Center has participated
in numerous pharmaceutical clinical trials for promising treatments of
cataplexy, insomnia and Restless Legs Syndrome.

Please see our RESEARCH section for more
information about our research facilities and staff. A list of Dr. Scrima's
research and publications (History section), and see our ANNOUNCEMENTS section,
which contains information regarding current research, in which some patients
may wish to participate.

Location & Directions

From I-225 going North take the E. Mississippi Ave.
exit,
Turn LEFT onto E. Mississippi Ave.,
Turn LEFT onto S. Potomac St.,
Turn LEFT at the last of the 1 story brick buildings.
We are at Suite 110
From I-225 going South take the E. Mississippi Ave. exit,
Turn RIGHT onto E. Mississippi Ave.,
Turn LEFT onto S. Potomac St.,
Turn LEFT at the last of the 1 story brick buildings.
We are at Suite 110

Company Profile

The Sleep-Alertness Disorders Center (SADC) is a
full service certified, independent diagnostic center, since 1994. The Director,
Lawrence Scrima, Ph.D., Diplomate American Board of Sleep Medicine (ABSM),
Diplomate American Board of Forensic Medicine (DABFM), is an internationally acclaimed, board-certified sleep disorders
specialist, with 24 years of clinical and over 27 years research experience.
Our Medical Director, William J. Warkentin M.D., Fellow American College of
Physicians (FACP), Diplomate American Board of Internal Medicine (ABIM) and
Associate Clinical Professor of Medicine at UCHSC, is board certified in internal medicine,
highly regarded with
over 25 years experience.

The Director evaluates all patients with sleep and/or alertness problems at the
center, which is a fully equipped, certified sleep laboratory with 3 bedrooms
(one is large with 2 beds so that a parent can stay with their child for child's
sleep testing). The Director and Medical Director review, interpret and compose
a summary report of the sleep problem history, test results, diagnos(is/es) and
list appropriate treatment options that can be initiated by the patient's family
physician or an SADC medical associate. Follow-up assessments are also provided
at the Center. For sleep apnea patients, the SADC also does CPAP titration's and
can provide CPAP equipment and follow-up assessments.

Dr. Scrima provides clinical consulting services to hospital and independent
sleep centers, including professional interpretation of sleep testing, and
consulting services to new sleep centers and to industry.
Additionally, the center participates in clinical trials for promising new
treatments of sleep disorders and has a research coordinator on staff.

The Center's Goals Are

1. To provide the very highest
quality sleep disorders evaluation in addition to appropriate
treatment recommendation options, sending reports to both the patient and their
physicians.

2. To be responsive to referring physician's inquiries, prompt with
our reports, and available to
discuss patients from 10:00 a.m. to 5:00 p.m. daily.

3. To educate the public, as a
member of the National Sleep Foundation, we are dedicated
to informing the public concerning basic information about sleep, its importance
and its disorders.

4. To provide expert
consultation services to new sleep disorders centers and industry.

5. To stay abreast of new treatments
and conduct clinical sleep research trials with promising
new treatments.

SLEEP DISORDERS TERMS AND DEFINITIONS

Sleep Apnea
- to stop breathing during sleep for 10 seconds or longer.
There are 2 types: Obstructive Apnea is a collapse
of the upper airway while efforts to breathe continue. Central Apnea
is a pause in breathing while the upper airway is open, but without effort
to breathe.

Sleep Hypopnea
- a decrease in air flow during sleep with a 4% or greater decrease in blood oxygen.
There are 2 types:
Obstructive Hypopnea is a partial collapse of the
airway (associated with snoring).
Central Hypopnea is an open airway, but reduced or fading-out of breathing effort.

Insomnia
- persistent difficulty falling asleep and or staying asleep; can
be due to underlying sleep
disorders or medical conditions and or poor sleep hygiene, and / or
psychological problems.

Restless Leg Syndrome (RLS)
- a restless, disagreeable, annoying or painful sensation in the
legs, occurring during the day or evening or during sleep, that cause an almost irresistible urge to move the
legs which can make it extremely difficult to get to sleep.

Periodic Limb Movement Disorder (PLMD)- involuntary leg and or arm movements or
twitches during sleep, sometimes brought on by disagreeable or annoying or
painful sensations or for no apparent reason. Patients may not awaken for
these movements fully and may not be aware of them, but these frequent
micro-awakenings can produce either excessive daytime sleepiness and/or
difficulty initiating or maintaining sleep.

Narcolepsy- a neurological sleep
disorder, associated with excessive sleepiness (also referred to as hyper
somnolence), resulting in the need for frequent naps, sleep attacks
(unplanned naps, falling asleep), difficulty maintaining sleep or
wakefulness for normal lengths of time, sudden and usually brief weakness
events (called cataplexy), and sometimes associated with hallucinations
(dream- like experiences while awake and or sleep paralysis (the very
disconcerting inability to move soon after lying down or just after
awakening, lasting a few seconds to a few minutes).

Cataplexy- sudden muscle weakness,
associated with one or more of the following: mild head bowing, weakness in
hands / arms / legs or jaw and facial muscles, slurred speech, knees
buckling, falling to the floor and appearing as though asleep, but remaining
awake); experienced by narcolepsy patients, when experiencing a strong
emotion, such as laughter, anger, surprise, embarrassment, competitive
athletics. These events can last a few seconds to minutes.

Night Terrors- often described as a single,
persistent frightening image, abruptly occurring in deep sleep (usually
spontaneously occurs in young children or sometimes in adults after a
traumatic experience), often accompanied by a loud scream, that may not
awaken the patient, although they are sitting bolt upright in bed, appearing
intensely fearful (may be associated with thrashing, kicking, shaking, etc.,
especially if they are touched before they are fully awake).

Polysomnogram (PSG)- electronic measurement and recording during sleep, of
muscle activity, eye movements, brainwave patterns, as well as air flow, oxygen level, effort to breathe,
heart
rate and rhythm; this test is performed to objectively assess and /or rule
out certain sleep disorders.

Multiple Sleep Latency Test
(MSLT)
- a series of 4 to 5, approximately 20 minute naps, spaced 2 hours apart,
usually carried out 2 to 2.5
hours after awakening from a PSG test; used to objectively assess the severity of
excessive daytime sleepiness or hyper somnolence and to diagnose or rule out narcolepsy

Multiple Wakefulness Test
(MWT)
- a series of 4 attempts to stay awake, while sitting up in bed, in a dark
bedroom for 10 to 20 minutes, usually starting 2 to 2.5 hours after a PSG test and repeated
every 2 hours; used to objectively assess vigilance (alertness), which is often greatly
impaired by certain sleep disorders.

Sleep Stages:-normal sleep progresses through cycles of
sleep stages. The sleep stages of normal sleep are
of a certain order,
duration, and proportion, called normal sleep architecture. Sleep
architecture undergoes normal changes at certain ages and is disrupted when
sleep disorders are present.
Read about the stages immediately below:

Light Sleep
(stages 1 and 2 sleep)
- subjectively people awakened from light sleep will report that they were
not asleep, but there is a decrease of sensory input during light sleep and
a change in brain wave patterns, from a fast, mixed frequency associated with
wakefulness, to a progressively slower and larger brain wave pattern. Stage 2
sleep is found throughout the night and makes up about 50% of our sleep time.

Deep Sleep (stages 3 and 4 sleep)
- Large slow brain wave that occur in stages 3 and 4 sleep, usually
occurring early in the night after light sleep and is mostly concentrated in
the first half of the night. During deep sleep, growth hormone is
released in the greatest amount of the 24 hour period. The amount of
deep sleep decreases as we age.

Rapid Eye Movement Sleep (REM)
- sporadic rapid eye movements during sleep, along with a marked
decrease in muscle tone and brain waves that look similar to wakefulness or
stage 1, are observed in PSG recordings during what is referred to as REM
sleep. REM sleep is when we have story-like dreams, hence it is also
know as dream sleep. The first occurrence of REM sleep is usually the
shortest of the night, tends to begin about 90 minutes after light and deep
sleep, returns about every 90 minutes and is mostly concentrated in
the last third of the night of sleep. Adequate REM sleep is important
for learning and memory. Infants have the highest proportion of REM
sleep because learning is their main activity when awake.

CONTACT INFORMATION

Note that this web page contains general information that may
be useful to the reader.
If you wish to fill out our Initial Screening questionnaire,
include your name, address and phone number so we can get back to you with
feedback. However, please
note that we cannot give specific medical advice to any individual who is not
seen at this center. You are welcome to call and schedule an appointment with us
or, if you are not in the Colorado area, you can consult your family physician
or a board certified sleep specialist in your area. You can arrange a phone
consultation with Dr. Scrima if you have been one of his patients or if you wish
to get general questions answered about sleep disorders; phone consults are
billed by time, but need to be arranged in advance by calling to set a time.

Thank you for visiting our website.
We hope that you have found it informative.